Medi Assist India Complaints & Reviews

I work in Infosys and my company is tied up with Medi Assist. My wife had a surgery and I provided all the documents they needed for claim. Its been 2 months but nothing was done. Every time I call customer care, they say claim is under process. Worst case is even my wife has insurance from some other company and instead of claiming there I opted for Medi assist. And now I cant claim with other insurance company since its been 2 months from surgery and this pathetic Medi assist will not let me know what is the status..Really frustrating... Claim number : 11313822

I am a mediclaim policy holder. The policy is issued by New India Assurance Co. Ltd, Chennai. TPA for this policy is Medi Assist Indid. As per norms laid down by this TPA, the policy holder has to inform the TPA immediately on getting admitted to the hospital. I needed to get admitted to the hospital on[protected]. I desperately tried to contact Medi Assist on[protected]/49066500. I could not contact them. The hospital agreed to admit me and get clearance from TPA. On getting discharged I had to wait 7 hours to get out of the hospital refused to let me out without the approval of TPA. This was a bigger mental/physical torture than going through the treatment.My repeated attempts to contact TPA on the given tel.nos. failed as the phones were continuously engaged.Finally on getting the clearance at 6 o'clock in the evening it was found that certain amounts were deducted.As the amount was considerable the hospital officials and I tried to contact the TPA to seek clarifications, but failed to contacta them as the line were either busy or kept off the hook. I finally had to pay the difference amount and got out of the hospital at 8.00 P.M.Due to poor facilities and delay in processing claims I have gone through a lot of physical/mental torture, that too when I am in poor health. I want to be compensated by Medi Assist for a sum of Rs.25000/-. Besides the TPA has deducted certain sums for which I am actually eligible . I shall take up this issue separately.

I have sent one reimbursement application on 30.06.2015 and the Same has been delivered at your Bangalore address on 03.07.2015. There is no response till date from you and even ur toll free number is not working. Even I have tried n this number[protected]. Nobody is attending the call.My MA ID is[protected]. Hope u will look in to the matter urgently...thanx

HI I am chaithra shankar i have an medical policy with medi assist, i have already submitted all ur requirement original documents, kindly look into it and let me know if you required any documents.its already a 2 months over plese do the need full.

Hello Sir/Ma'am, My name is Amaan Siddiqui. I have joined medi assist india TPA pvt ltd as an Asst Manager - BD on 16thApril 2012 in mumbai and was transferred to Noida office at same position at my will. I worked in Noida for about 3 months in Medi Assist and finally resigned on 4th jan 2014. I also got mail from the HR (Ms. Chahat Manchanda) confirming my resignation and my last working day and later i also got my relieving letter. Now its been more than a month starting from 1may 2015 i am continously calling Ms. Chahat Manchanda but she is not responding to my calls neither replying to my mails apart from the first call which she answered to know the reason for my call. My PF account number is KN/BN/25970/2899 . My pf account in maintained in bangalore. My pf amount is. 55k. Please help me in this issue so that processing of my pf becomes easy. Regards, Amaan Siddiqui

Dear Sir, My reference CLM no. 10941113, MAID NO. [protected] in the name of Dharvi Grover daughter of Ajay kumar still pending for the last 3-4 month. Why its delay, if any clarification required from your side, pls. let me know. You are requested to release my refund payment asap. Thanks ajay [protected]

> This is with regard to the cashless claim approval. My employee id is 321545 and i work in attra infotech. My father got admitted in St Johns hospital on wednesday 15th april. I applied for cashless facility and got an approval of 50000 against an estimated amount of 1.25 lac. Ack claim: 11070981. Today my father was supposed to get discharged and the final bill was sent to mediassist which amounted to 1, 93, 743. On this i got an approval of 20920. Ack no:11102252. The mediassist id is [protected]. According to my policy i should get 60% amount i.e. 1.16 lac from you. But i have got an approval of only 70920. I called mediassist customer care 5 times. They could not provide me any explanation and kept me on hold for more than 1 hour. Then i went to their office in bangalore. It got closed by the time i reached there. Because of this we had to delay the discharge till tomorrow. We went ahead with the treatment hoping that you would pay 60%. Now i dont have enough cash to get my father discharged from the hospital. I have only 40% of the total amount. I was really harassed by your customer care executive who promised me callbacks. But i didnt get any response from their side. Kindly provide me an explanation on the same and process my claim correctly as soon as possible.

Hi, Claim Registration No : D[protected], raised on[protected], no response so far, called multiple times on Bangalore number but no response. Can you please look in to it and approve the clam. Company : Tata Consultancy Services (TCS) Emp No: 480766 Emp Name : Yagante Varaprasad Thanks, -Varaprasad

My wife got admitted for a maternity on 22nd of January in an Emergency. She delivered a baby girl on 22nd of January. I called up mediassit on 22nd for intimation. It does not accept my intimation and wanted me to send an email. Since she was in emergency, I stayed day and night in the hospital, most of the offices were closed on 26th January hence I was able to send an Email only on Monday 27th of January. My question is why they did not accept the intimation on Telephone. It took me a series of 5 to 10 e-mails along with follow-ups to get the claim registered. My wife got discharged on 6th of February and I submitted the claim documents by 19th of February. I got a query on 1st of March that I need to submit the reason for delay. I wrote an application about the same I and submitted by 2nd of March. Mediassist did not provide me any status till 31st of March. On calling the customer care they told me that the claim has been repudiated and I need to contact a certain number[protected] in Bombay to take the case further. My question why do I have to call Bombay when I am staying in Bangalore. Trying for half and hour, ring goes and nobody responds on the number. 1-800 number is busy for hours at a stretch and If you dial the office number mentioned on site then security picks up the phone and tells that "The madam in charge has gone for lunch" Its a sheer case of customer harassment, not guiding the customer properly, not dealing through stipulated customer care and denying valid claims for no appropriate reasons. Never Ever insure through Medi Assist if you want a peace of mind and your claims to go through. My claim number is 10893124.

1. The certification of cash less hospitalization for the treatment of my son Mr Sanjay K S, Junior software Engineer, Coupons.com company (Employee Code - 11) for the Ankylosing Spondilitis was not approved by the Medi Assist India TPA Pvt Ltd and advised us to send the bills after treatment for reimbursement. 2. The treatment was given to Mr Sanjay K S, on 08.12.2014, in Bangalore Baptist Hospital, Hebbal, Bangalore – 560024 for the Ankylosing Spondilitis. 3.Accordingly, the original hospital main bill with detailed break up, reports and pre-numbered cash paid receipt, have already submitted to M/S Medi assist India, Bangalore on 30.12.2014 and the ORIGINAL bills/details were sent, given as below, i) The duly filled in reimbursement claim form ii) The split up expenditure details Bill No Bill date Particulars Amount (Rs) [protected].12.2014 Lab Charges 970.00 [protected].12.2014 Medicine charges 82411.00 [protected].12.2014 Medicine charges 60.00 Total Rs 83411.00 iii) The outpatient bill related to Lab charges dtd 05.12.2014 of Rs 970.00 iv) The Doctor’s prescription dtd 05.12.2014 v) The cash paid out patient pharmacy cash receipt dtd 08.12.2014 of Rs 82411.00 vi) The Emergency services treatment record and prescription dtd 08.12.2014. vii) The out patients pharmacy cash receipt dtd 08.12.2014 of Rs 60.00. viii) The outpatient bill for the charges of IV Injection/Infusion/KVO (Medicine) dtd 08.12.2014 of Rs 30.00 ix) The request letter for cash less hospitalization for Medical Insurance Policy 3. As regards the required Investigation reports, sought from Mediassist dated 08.01.2015, the data/information /details ie the Medical Report furnished from the company vide dated 13.01.2015. (copy enclosed) 4. And also it was requested for more information/clarification regarding the medical aspects from Dr Jacob Mathews V. DNB MD (Medicine), Consultant Physician and Rheumatologist of Bangalore Baptist Hospital, . Airport Road, Hebbal, Bangalore and Mail - [protected]@yahoo.co.in, Ph:[protected] Extn- 350) 5. The Insurance Company denied the reimbursement of medical expenses. But as per ‘Employee Benefits Manual’ in Coupons.com Policy, this exclusion is waived & all claims related to Pre-Existing Ailment Is payable from Day one of the policy. 6. It is hence requested to look in reg the reimbursement of medical expenses. Dated 25.02.2015 Yours Faithfully sd/- Enclosures: Siddappa K G 1. Reimbursement claim form Parent of Sanjay K S 2. Bills and prescriptions – 8 # 103/B, 6TH Cross, 3rd Main Road 3. Medical Report Ganganagara, Bangalore- 560032 4. Lab Report

Please note my daughter is in TCSand we had a claim regarding hospitalization and we have received trhe same.further check up was done.later asked to do MRI for further treatment. we have done the same and sent the bills for reimbursement.but is rejected.earlier claim we have received.if patient is unwell after thirty days .why claim has been rejected.patient cant be in hospital for months .pl look in to the matter

medi assist Id: [protected] emp. no: H2013RDG054 My sister Ms Vandana Baghotiya was hospitalized at Himgiri hospital Hyderabad and we have health insurance from Medi-assist. We paid the hospital bill at the time of discharge, our claim has been approved on 18th June 2014 but it has been almost 4 months, medi-assist has not reimbursed our claim, I have called 100's of time but they do not have any answer. Medi assist service has pathetic and worst service among others TPA's. You are requested to help us in this claim reimbursement process. Gireesh Baghotia Mb: [protected]

Dear Sir, I am a corporate employee and this complaint is with regards to my claim for my father's liver transplant surgery.I initiated cashless claim via hospital and the claim got rejected immediately.I called the customer executive(Mr.Arun) and he confirmed that the claim would be processed after receiving letter from hospital that reason for surgery is 'liver transplant'. I contacted Mediassist after a day to know the status and they have replied that claim is denied stating reason as 'alcohol'. when I took the policy, it was mentioned that all pre-existing aliments are covered. Here is the mediassist id: [protected] Policy No: 602200/46/14/[protected] Requesting justice in this case. Regards, Meenu

Dear sir/madam (Ranganadh & vijayawada opp:b.r.p. road manager) I don't know why this medi assist is dealing with these types of employer who scare of getting fined on them for the claim which they are looking for. FYI., the disease which you are saying "pre existing". Actually it was the years of marriage. I mean to say the marriage has been done before 3yrs. BTW you must go as per the rules but this is not fair. And its being very unfair to do like this which creating new problems in the claims. Regards, Asad Muhammed Mob No: 0091-[protected] / 0091-[protected] Past Mail for the manager: Dear ranganath, I have met Mr. G.V. Rao., Vijayawada and had a conversation as you told. But he is telling that the file is closed and you people can't open again. How is this happening. It looks like i am toy and you guys playing with me. How are you working and giving trouble to the customers. As you said to talk with Mr. G.V.Rao. But he is telling the other story to apply for "ODBUDSMAN" As you guys giving trouble and telling us to complain to ODBUDSMAN. This is not fair. For a genuine case., you guys making it difficult and closing the file. I don't angry with your response. Regards, Asad Mohammed Mob No: 0091-[protected] / 0091-[protected] Dear sir, Please find attached file of the documents related to the claim no: 9753622. Mrs. Syed Khader UnnisaBegum W/o. Asad Mohammed. As your letter requiring i am sending the First consultation papers of vijayawada. As i had a conversation with Mr. Dr. Mohan on phone call @ 24th april @ 12:04pm. And the reamining required documents will be given next month as i live in vijayawada and will be coming to vizag next month. so i just want to intimate about the other documents will bring next month on 9th May. So please revert as you get this mail as an acknowledgement from your side. Regards, Asad Mohammed Mob No: 0091-[protected] / 0091-[protected]

Dear sir
I hukam chand s/o sh sohan lal having a policy in medi assist. Nd my policy no is 233902/48/2015/480. I meet with in road accident. Nd mu doctor suggest me for operate . Nd they send the detail to your department. For cashless facilty. But my approvel is rejected. When i ask why it is rejected then they have a no proper answer for it. I call all the concern pepole any one has not a reason behind it. And i mail it to all your mail id. But get not a single reply. So i request you to plz take a immigiate action on it. So that i can get my treatment properly.

Thnx nd regard
Hukam chand
[protected]

Hi,

I have medical insurance from Medi Assist India PVT LTD. I got dengue fever in October 2012.In same month applied for reimbursement, till now I didn't get that money.
If I call they will say your request in process.

Regards,
Siva B

We have submitted the claim for MAID: [protected] and have received the Claim number on our mobile as 9919911. After following up for more than a month, there is no progress with this claim. The registered phone numbers dont work either, and we have been trying to reach to check the status. Is there a better way to help the aged, who are in real need to check their claim status.

I hereby complaint that mediassist company is 100% fraud, because so many peoples are suffering for cash less recently i am suffering from last 4-5 days, for my wife operation each hospital saying that they have no tie up with mediassist or pending for renewal of contract, or saying you can claim thru re-embursment, how ever if any person have no source of money for instant treatment, then how a common man treat himself, pls lodge complaint against mediassist and get the necessary action against fraud company.


Harmohan singh
[protected]

from the past three months I make them call for the reimbursement process.

1) number which they have provided in website is not working

2) I call to the main branch once or twice in a week but all the time they gave me fake promise that " our internal verification " is working..And when i ask them that how much time will it take, thay always say " one week" .
they are not giving me proper answers and give me fake promises for that..It has been three months now but still i dont get my claim amount...FAKE...specially Ahemedabad Branch..

Dear Sir, We have submitted the claim request on 27.11.2013 to Medi Assist India TPA Pvt. Ltd. after which we submitted the Reply for the queries with your letter dated 05.12.2013 under reference number CCN#8334282 on 13.12.2013 at their Mumbai, Andheri Office through Courier Namely Ashok Courier numbered 54257812. It has been around 1 month and we have not received any feedback on my claim. The telephone numbers of andheri office as[protected] /01 /02 /03 /04 is also not reachable for last 1 month. My details are as under: Claimant Name: Manoj Lahoti Claim Amount: Rs. 15, 553 Insured Code: 47807927 Policy No.: 124500/48/2013/9792 with Oriental Insurance Company Limited, Mumbai Mob: [protected] Email: [protected]@gmail.com Pls. let me know the status of my claim as earliest. Regards Manoj Lahoti